HomeMy WebLinkAboutZ-19343FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No
Z-19343 Date SEPTEMBER 7~ 1990
THIS CERTIFIES that the building ONE FAMILY DWF3W.ING
Location of Property 54300 ROUTE 48 & 75 RUCH LANE
House No. Street
County Tax Map No. 1000 Section 52 Block 3
Filed Map No.
Subdivision
SOUTHOLD ~ N.Y.
Hamlet
Lot 1
Lot No.
conforms substantially to the requirements for a Private One Family
dwelling built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF CCC. Z-19343 dated SEPTEMBER 7~ 1990
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWFIJ.ING WITH ACCESSORY 3 CAR GARAGE *
The certificate is issued to EleANOR RUCH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE-EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE-EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE-EXISTING
*PLRASE SEE ATTACHED INSPECTION REPORT.
' ' /// Building Inspector
Rev. 1/81
Location
BUILDI~ DEPARTmeNT
TO~;~I OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
54300 ROUTE 48,75 RUCH LANE
SOUTHOLD, NEW YORK
(numoer & streeT) (Municipality)
Subdivision Map No. Lot(s).
Name of Owner(s) ELEANOR RUCH (MRS. VALENTINE RUCH IV)
Occupancy
A~mitted by:
A-I
(.type)
MRS. R'UCH
OWNER
(owner-Venanv)
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 52-3-{
Source of request
ELEANOR L. RUCH '
Date JUNE 18, 1990
D~LLIMG:
Type of construction
Foundation BRICK
Total rooms, 1st. F1
Bathroom(s) 2 F~L ~AT~S
WOOD FRAME
Cellar PARTIAL
2nd. FI 4
Toilet room(s)
#sTories 2
Crawl space
3rd. F1 - -
Porch, type PORCH
Deck, type. WOOD ~ OECK Patio, type
Breezeway -- Garage Utility room --
Type Heat LILCO GAS 'Warm Air xx Hotwater
Fireplace(s) l-LIVING ROO~o' Exits 5 Aircondition~ng
Domestic hotwater LILCO GAS .Type heater R~EEM
Other DARK ROOM IN CELLAR, REAR ENTKY S/AY
ACCESSORY STRUCTURES:
Garage, type const. 3 CA, WOOD FRAMEStorage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS:
.CNAPTER 45--N.Y. STATE UNIFOKM FIRE PREVENTION & BUILDING CODE
Location
Art.
Sec.
Descriotion
Remarks: B.P. ~m2365- co #Z-19342 (addition) BP #6091 CO #Z-5396 (Accessory)
~~.~- is/h~-~ Date of Insp. Aug. 30, 1990
--~' . ,
Inspected by: 6' 'Time start 10:30 end 10:55
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC~
This application must be filled in by typewriter OR ink and s~
inspector with the following: for new building or new use:
1.
Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept.-of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead. ~ ~
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance fromarchitect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, buildir~g and
unusual natural or topographic features.~//~ '~'
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...........................
New Construction ........... 010 Or Pre-existing Buiiding.~. .............
~caaticn of ~roperty ..... .~.-.. ~r.--.~ ,.~-. .............................. ~,p~:,~ ..............
House No. Street Hamlet
Onwer or Owners of Property. Eleanor Ruch
County Tax Map No 1000, Section. >A-~A ....... Block ..... 99..99 ...... Lot..PPA~PP9. f ...........
Subdivisior: .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
H~alth Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: .Temp°rary Certificate ........... Final Certicate.?~.. .......
' ...... .
CO ~ ~9~%~3 APPLICANT.
Eleanor L. Ruch
CONSENT
TO
INSPECTION
· the undersigned·
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) ~ the owner(~ of the premises in the Town
of Southold located at 54300 North Road (Route 48), Southold, New York
· which is shoxvn and designated on the Suffolk
County tax map as District 1000, Section 52.00 , Block 03.00 , Lot 001.000.
That the undersigned (has) ~ filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: .~
Final Certificate of Occupanc~
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws· ordinances, rules or regulations of the Toxvn of Southold.
Dated: June /.c/' lqc~n
~ ~-' - (signature)
Eleanor L. Ruch
(print name)
(signature)
(print name)
S. i3' 48' 40'6.
~6